HERBERT E CHILDRESS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119990

License Status

NOT RENEWED

Business

First Name

HERBERT

Middle

Last Name

CHILDRESS

Suffix

Business Name

HERBERT E CHILDRESS DO

Original Issue Date

01/22/2008

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/30/2023